Individual
DEBRA P FERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6487
Mailing address
1500 NW 12TH AVE STE 810, MIAMI, FL 33136-1037
(305) 585-6649
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME39424
FL
208M00000X
Hospitalist Physician
ME39424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458881-00
—
FL
Enumeration date
06/30/2006
Last updated
09/19/2014
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